| NPI | 1568869451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0027105) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OH RN246912) |
| 163WS0200X Registered Nurse, School (Licence: OH OH3085478) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2021-10-15 |